| Human Services Center | |
|
130 West North Street New Castle PA 16101-3906 | |
| (724) 658-3578 | |
| (724) 656-1325 |
| Full Name | Human Services Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 West North Street, New Castle, Pennsylvania |
| Authorized Official Name and Position | Jeffrey A Stockdale (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7246583578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Services Center 130 West North Street New Castle PA 16101-3906 Ph: (724) 658-3578 | Human Services Center 130 West North Street New Castle PA 16101-3906 Ph: (724) 658-3578 |
| NPI Number | 1205890332 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 05/01/2015 |
| Medicare PECOS PAC ID | 7416995436 |
|---|---|
| Medicare Enrollment ID | O20050420000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205890332 | NPI | - | NPPES |
| 1007562680004 | Medicaid | PA | |
| 00736433 | Other | PA | AETNA |
| 00648155 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Pennsylvania) | Primary |
| Provider Name | Mark Ayad Matta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245424084 PECOS PAC ID: 3577658988 Enrollment ID: I20071001000251 |
| Provider Name | Suzanne R Lucot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629110606 PECOS PAC ID: 4981917796 Enrollment ID: I20150723006943 |
| Provider Name | Seneca Lynn Booty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568153427 PECOS PAC ID: 4082061841 Enrollment ID: I20231115003750 |
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